Individual provider Active NPI

Injamamul Latif Niloy, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Belvoir, VA
National Provider Identifier
1851868129
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401416341 Issued in VA
Practice address
Oaks Pavillion, 1St Floor
RM. 01.319
Fort Belvoir, VA 22060
Phone
(571) 231-3519
NPI assigned
Oct 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17905 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401416341 VA Primary
General Practice Dentistry 1223G0001X 0401416341 VA

Addresses

Primary practice location

Oaks Pavillion, 1St Floor
RM. 01.319
Fort Belvoir, VA 22060

Mailing address

5802 Army Pentagon
Washington, DC 20310-5811
Phone (561) 727-4089

Other practice location 1

6564 Loisdale Ct Ste 110
Springfield, VA 22150-1822
Phone (703) 936-7671

Other practice location 2

10 Chatham Heights Rd
Fredericksburg, VA 22405-2566
Phone (540) 792-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613001736 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638536287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416341VAMDOral and Maxillofacial Surgery (Dentist)
17905MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Orthodontic Associates, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851868129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 ARMY PENTAGON",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203105811",
            "telephone_number": "561-727-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OAKS PAVILLION, 1ST FLOOR",
            "address_2": "RM. 01.319",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-3519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6564 Loisdale Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501822",
            "country_code": "US",
            "telephone_number": "703-936-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Chatham Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224052566",
            "country_code": "US",
            "telephone_number": "540-792-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILOY",
        "first_name": "INJAMAMUL",
        "middle_name": "LATIF",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "17905",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401416341",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

Verify at the official NPI Registry.